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NPI Profile for Dr DOUGLAS C PETERSON in ELK GROVE, CA.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Legal Medicine |
209800000X | |||
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1174739288 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 05/15/2007 | |
| Last updated | 04/22/2013 - About 13 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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DOUGLAS C PETERSON
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DOUGLAS C PETERSON, MD